直视下腹膜透析管置入术腹壁固定与非固定效果观察

Effect observation of the fixation methods of peritoneal dialysis catheter on the abdominal wall under direct vision

目的探讨腹膜透析置管术中行腹壁固定与非固定两种方式的效果差异。方法慢性肾功能衰竭患者38例,均选择腹膜透析作为肾脏替代治疗模式。按腹膜透析置管术式分为腹壁固定组与非固定组,比较不同术式的透析液出入速度及超滤量、腹透管移位发生率。结果两组透析液出入及超滤量无明显差异;但腹壁固定组腹透管移位发生率为零,非固定组腹透管移位发生率为15%,二者相差显著(P<0.01)。结论采用腹壁固定术可有效减少术后腹膜透析导管移位发生。

Objective To investigate the different effect of catheter abdominal fixed and unfixed surgical methods on the malposition of the peritoneal dialysis catheter （PDC）. Methods Totally 38 patients with chronic renal failure were randomly divided into two groups： the fixed group, the catheter was fixed on the abdominal; the unfixed group, the catheter was not fixed on the abdominal. Comparing the incidence of the PDC malposition and the dialysis effect. Results The incidence of the PDC malposition was obviously reduced （0） in fixed group compared to 15% in unfixed group. The volume of input/output and uhrafihration were not significantly different in two groups. Conclusion The surgical method of PDC abdominal fixed can effectively reduce the PDC malposition.